Individual
DR. PIYANUCH KONGTIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RH0003X
Hematology & Oncology Physician
Primary
SPI691
CA
Other
Enumeration date
07/20/2020
Last updated
02/28/2023
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